HomeMy WebLinkAbout178773 10/28/2009 CITY OF CARMEL, INDIANA VENDOR: 362903 Page 1 of 1
ONE CIVIC SQUARE MAX HITE
d€ CHECK AMOUNT: $15.00
CARMEL, INDIANA 46032 eae N 500 w
DECATUR IN 46733 -8345 CHECK NUMBER: 178773
CHECK DATE: 14!28/2009
DEPARTMENT ACCOUNT PO NU INVOICE NUMBER AMOUNT DESCRIPTION
1047 4239039 15.00 PRIZE
e
Carmel *Clair
Parks &Recreation CHECK REQUEST
Date: "1 /a(� 1
Check payable to
Name: -N
Address:
City, State, Zip D�_ :7s\ b LI C 733 -V 9 5
Mail check to payee Return check to requestor
Check Amount 00 Date Required
(-7 Check needed for I nir A tL• in rQUO L �n
4 I fifth
Supporting documentation or receipt(s) MUST be attadRed"l "s
O U 9 2009
To be paid from
e
PO
Budget account GL
Budget Line Description V v
Requested by (print):
Requested by (signature): vii
Approved by (signature of Division Manager):
on this date
Form revised 1 -21 -08
The
Mononkenter
ATCENTRALPARK
Wednesday, September 30, 2009
MEMO
To: Audrey K, Business Services Division Manager
From: Tess Pinter, Recreation Manager
Purpose: Carmel Clay Parks Recreation hosted a Table Tennis Tournament on Saturday, September
26 All participants paid a set fee to enter the tournament. The top 3 winners in each division will
receive prize money in the form of a check. The amount per winner is below.
Division A: Division B:
1 place Joseph Cochran $250.00 1st place Andre Khailo $150.00
2 nd place Stephen Clyde $150.00 2 nd place Jian Chen $75.00
3 place David Stout $75.00 3` place Michael Nowicki $30.00
Division C: Division D:
1 place Cameron Luo $100.00 1st place Ken U $75.00
2 nd place Xiaofeng Guo $50.00 2 nd place Xiaofeng Guo $40.00
3` place Ken Li $25.00 3rd place Kevin Mi $20.00
Divison E:
1 place Tim Stevens $75.00
2 place —Craig Simon $40.00
3`8 lace Max H i P f1��
P 5:00 a y
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OCT 0 9 2009
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USATT Official- Al Grambo $150.00
USATT Fees- $509.00
1235 Central Park Drive East Carmel, Indiana 46032 I P 317.848.7275 F 317.573.5254 I www.carmelclayparks.com
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee Purchase Order No.
Terms
Hite, Max
888 N 500 W
Decatur, IN 46733 -8345
"4
Invoice Invoice Description Amount
(or note attache PO
Date Number d invoice(s) or bill(s)) 15.00
9126109 USATT USATT winner
Total 15.00
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20_
Clerk Treasurer
Voucher No. Warrant No.
Hite, Max Allowed 20
888 N 500 W
Decatur, IN 46733 -8345
In Sum of
15.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 USATT 4239039 15.00 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
22 -Oct 2009
Signature
15.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund